Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,709.64	Facility		$831.76	$4,786.30	$8,709.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $14,125.38 / $23,988.33	Facility		$3,715.35	$14,125.38	$23,988.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,168.69 / $8,317.64	Facility		$954.99	$4,168.69	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,479.11	Facility		$870.96	$870.96	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $676.08	Facility		$288.40	$467.74	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21